scholarly journals Impact of warm ischaemia time during partial nephrectomy on renal function - is it really a matter of time?

2018 ◽  
Vol 121 (1) ◽  
pp. 3-4
Author(s):  
Eva M. Bolton ◽  
Thomas H. Lynch
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Warm Ischaemia Time

scholarly journals Early vascular unclamping reduces warm ischaemia time in robot-assisted laparoscopic partial nephrectomy

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 108 ◽  
Author(s):  
Kevin Lah ◽  
Devang Desai ◽  
Charles Chabert ◽  
Christian Gericke ◽  
Troy Gianduzzo
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Positive Margin ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Renal Masses ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Patient Series ◽  
Warm Ischaemia Time

Introduction: The aim of this study was to assess the outcomes of early vascular release in robot-assisted laparoscopic partial nephrectomy (RAPN) to reduce warm ischaemia time (WIT) and minimise renal dysfunction. RAPN is increasingly utilised in the management of small renal masses. To this end it is imperative that WIT is kept to a minimum to maintain renal function.Methods: RAPN was performed via a four-arm robotic transperitoneal approach. The renal artery and vein were individually clamped with robotic vascular bulldog clamps to allow cold scissor excision of the tumour. The cut surface was then sutured with one or two running 3-0 V-LocTM sutures, following which the vascular clamps were released. Specific bleeding vessels were then selectively oversewn and the collecting system repaired. Renorrhaphy was then completed using a running horizontal mattress 0-0 V-LocTM suture.Results: A total of 16 patients underwent RAPN with a median WIT of 15 minutes (range: 8-25), operative time 230 minutes (range: 180-280) and blood loss of 100 mL (range: 50-1000). There were no transfusions, secondary haemorrhages or urine leaks. There was one focal positive margin in a central 5.5 cm pT3a renal cell carcinomas (RCC). Long-term estimated glomerular filtration rate (eGFR) was not significantly different to pre-operative values.Conclusion: In this patient series, early vascular release effectively minimised WIT and maintained renal function without compromising perioperative safety.

The effects of warm ischaemia time on renal function after laparoscopic partial nephrectomy in patients with normal contralateral kidney

2011 ◽  
Vol 30 (2) ◽  
pp. 257-263 ◽  
Author(s):  
Francesco Porpiglia ◽  
Cristian Fiori ◽  
Riccardo Bertolo ◽  
Tiziana Angusti ◽  
Giorgina B. Piccoli ◽  
...  
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Contralateral Kidney ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Warm Ischaemia Time

Reducing Warm Ischaemia Time During Laparoscopic Partial Nephrectomy: A Prospective Comparison of Two Renal Closure Techniques

2007 ◽  
Vol 52 (4) ◽  
pp. 1164-1169 ◽  
Author(s):  
Hervé Baumert ◽  
Andrew Ballaro ◽  
Nimish Shah ◽  
Dhouha Mansouri ◽  
Nauman Zafar ◽  
...  
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Prospective Comparison ◽  
Warm Ischaemia Time

A novel technique to limit renal warm ischaemia time during laparoscopic partial nephrectomy

2012 ◽  
Vol 110 (8) ◽  
pp. 1216-1219
Author(s):  
Nikhil Sapre ◽  
Niall M. Corcoran ◽  
Anthony J. Costello ◽  
Dinesh Agarwal
Keyword(s):  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Novel Technique ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Warm Ischaemia Time

Replantation of digits: a review of predictive factors for survival

2016 ◽  
Vol 41 (7) ◽  
pp. 753-757 ◽  
Author(s):  
A. Breahna ◽  
A. Siddiqui ◽  
E. Fitzgerald O’Connor ◽  
F. C. Iwuagwu
Keyword(s):  
Predictive Factors ◽  
Case Series ◽  
Multivariate Statistical ◽  
Level Of Evidence ◽  
Patient Demographics ◽  
The United Kingdom ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Full Complement ◽  
Warm Ischaemia Time

The survival of 75 consecutive digital replantations carried out between 2006 and 2010 at a regional hand centre in the United Kingdom was determined. The patient demographics, mechanism of injury, co-morbid factors, operative and post-operative details were extracted and reviewed from the medical and hand therapy notes. Predictive factors of survival were determined by using univariate and multivariate statistical analysis. The survival rate was 70%. Arterial thrombosis was the leading cause of replant failure, followed by venous congestion. Smoking, level of amputation, number of nerves repaired, warm ischaemia time and timing of replantation were independent predictors of replant survival. However, only warm ischaemia time less than 6 hours and 30 minutes and replantations done within ‘office hours’ showed significance on multivariate logistic regression. Our study suggests that replantations done in daylight hours, when feasible, with rested staff and a full complement of the theatre team are likely to have better outcomes. Level of evidence: Level IV case series

Warm ischaemia time in a model for small bowel transplantation

Microsurgery ◽  
1996 ◽  
Vol 17 (8) ◽  
pp. 438-443 ◽  
Author(s):  
Henk P. Giele ◽  
Kathryn A. Heel ◽  
Ann Storrie ◽  
Rosalie D. McCauley ◽  
John C. Hall
Keyword(s):  
Small Bowel ◽  
Small Bowel Transplantation ◽  
Warm Ischaemia ◽  
Ischaemia Time ◽  
Warm Ischaemia Time

Baseline renal function, ischaemia time and blood loss predict the rate of renal failure after partial nephrectomy

2009 ◽  
Vol 103 (12) ◽  
pp. 1632-1635 ◽  
Author(s):  
Claudio Jeldres ◽  
Karim Bensalah ◽  
Umberto Capitanio ◽  
Laurent Zini ◽  
Paul Perrotte ◽  
...  
Keyword(s):  
Renal Failure ◽  
Renal Function ◽  
Blood Loss ◽  
Partial Nephrectomy ◽  
Ischaemia Time ◽  
Baseline Renal Function
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